Active NPI
Pennreach
- Case Management Agency
- Allentown, NJ
National Provider Identifier
1710364385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- PENNREACH
- Practice address
- 18 S Main St
Allentown, NJ 08501-1610 - Phone
- (267) 559-1152
- NPI assigned
- May 2, 2015
- Last updated
- Oct 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krystal Odell, MED
- Title
- Ceo
- Phone
- (215) 409-5519
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | |||
| Case Management Agency | 251B00000X | Primary | ||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
18 S Main St
Allentown, NJ 08501-1610
Mailing address
18 S Main St
Allentown, NJ 08501-1610
Phone (215) 409-5519
Other names 2
- Cristal Wagner
- Kristin Everett
National Provider Directory
National Provider Directory- Tax ID family
- Pennreach
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Woodbridge, NJ
- NPI 1497308829
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Edison, NJ
- NPI 1508484486
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Fort Lee, NJ
- NPI 1538714878
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Lawrenceville, NJ
- NPI 1568940229
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Long Branch, NJ
- NPI 1568976967
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Woodbridge, NJ
- NPI 1588229306
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Old Bridge, NJ
- NPI 1629582416
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Woodbridge, NJ
- NPI 1649824087
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Long Branch, NJ
- NPI 1679087142
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Woodbridge, NJ
- NPI 1689227019
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Fort Lee, NJ
- NPI 1689229544
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Fort Lee, NJ
- NPI 1700431939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760659200000",
"number": "1710364385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 S MAIN ST",
"city": "ALLENTOWN",
"state": "NJ",
"postal_code": "085011610",
"telephone_number": "215-409-5519",
"fax_number": "609-259-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 S MAIN ST",
"city": "ALLENTOWN",
"state": "NJ",
"postal_code": "085011610",
"telephone_number": "267-559-1152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENNREACH",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-02",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A",
"authorized_official_last_name": "ODELL",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "215-409-5519",
"authorized_official_credential": "MED"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cristal Wagner",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Kristin Everett",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Allentown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.